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KMID : 0363220070450030279
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Korean Journal of Dermatology
2007 Volume.45 No. 3 p.279 ~ p.282
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A Case of Scrofuloderma with Cervical Lymphadenitis
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Cho Eun-Ah
Kim Si-Yong
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Abstract
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Scrofuloderma results from contiguous extension of an underlying tuberculous focus secondary to local tissue breakdown. The underlying focus may be a tuberculous bone or joint or even epididymis, but it occurs most commonly over a lymph node, particularly the cervical lymph node. A 29-year-old man presented with a tender, erythematous, linear, fluctuating plaque and nodules on the right side of his neck. He had pulmonary and intestinal tuberculosis. A biopsy specimen from the skin lesion showed caseation necrosis surrounded by granulomatous infiltration, composed of epithelioid cells, mononuclear cells and Langhans’ giant cells in the dermis. Acid-fast bacilli were identified on AFB staining. Herein, we report a typical case of scrofuloderma associated with cervical lymphadenitis.
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KEYWORD
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Cervical Lymphadenitis, Scrofuloderma
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